F Flint Water Crisis Public Archive

Jori July

PHN Supervisor at Genesee County Health Department / Genesee

24

Emails

Nov 2015–Jan 2016

Archive range

24 emails found.

Re: Whaley Childrens Center 1201 N. Grand Traverse

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| met with Michelle Johnson, Director of Operations. On 10/16 United Way delivered filters to Whaley. Whaley recently replaced filter cartridges, because red indicator light. Children drink only bottled water from many donated sources. Whaley maintenance crew sampled water, but mistakenly only filled the liter bottles 1/2 way to top. The 2.516ppm is the employee restroom @ admin building. It's a newer hand sink fixture, but old plumbing. | couldn't remove aerator to check for lead particulate, because of the fixture design. No valve, so posted "Do Not Use." At the extreme level, | want to check with MDHHS toxicology regarding potential risks from lead residual from hands to mouth (not skin absorption) e 213 is off site at Rotary and no children are there. It will be posted or made inaccessible until demonstrated to be safe. e 029 is a classroom and concerning. Michelle will check in morning to see if it is drinking water and follow up with me. e Tomorrow appropriate resampling is scheduled by Whaley staff. | recommended sampling drinking fountains also and make them inaccessible until demonstrated safe. e Michelle estimated 27 children at Whaley, A. None age 0-5, B. One age 6, Cc. Oneage8 D. Twenty-five age 11-16. e Michelle indicated most children have same Hurley doctor, but not sure who physician's name. e She referred me to Michelle Shamel, Whaley's Director of Clinical for information regarding blood testing and physician. I'll follow up with her in morning. Jim Sent from my phone. woeeee Original message------

RE: Enhanced Lead testing

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5 2echd >, "Cupal, Suzanne" <5 : Enhanced Lead testing ican send whatever you need to my VFC Providers and Non-VFC Provider email lists. f also have an OB/Gyn email list. My program secretary should be able to change the news screen on MCHA... Lat me know what ineed te do. Jori Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department [email protected] (810) 237-4543

RE: Newborn

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Okay....f just dort want peaple falling through the cracks. TorwwL LaRocco Ms, RN Director of Nursing Services Genesee County Healih Depariment 810.237 4544 [email protected] Se o. werk BO GaaBe, RES sOee, £8 tases dew’ ate ra fF oe. é a & rat . . z geonstance, chaos te eetes, conpasine & obenig, f wend ale a feast a ease whe a howe, a Sh ee a frvord, Grade Wake saber sense af our past, dolege coats. fos tala, get cmeates a ase fom Gemcnnsis~ 8 intended for ihe excuse . you are 4 of the content use of the addressee and may contain ded recipient, any d ute, u nsfribation, ted. HP you he scehved this &- Stroy alloomles Thank you, fidential or pros ney Of any sothon iy Ing f HF a website al hitec/Awwwy For & copy o' he Health Department's Notice of information Practices, contect the Health Denartrnent ar visit the Heallh ond uss Department's

010116 Edited FLINT BLOOD LEAD CM - weekly status tracking form v5 12.22.15.xlsx

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Hello Here is an updated file. Not much movement over last 2 weeks due to short weeks and holidays. No new file from Bob until this week. | added a column (B) to report week’s lists numbers instead of the number being buried in the first column (A). It helped for the formulas. The columns shifted once to right to become C to O. We did open one child to case management during this time period. Thank you Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, MI 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the xxxEND_PAGE:dhhs03_b0641_2161_2161_1

RE: Whaley Childrens Center 1201 N. Grand Traverse

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Thanks, I'm stopping by Whaley tonight to make sure that no one is drinking the water and the concerns below are addressed. traceived the attached water results this afternoon and t will bring a copy to help me identify the fixture locations at Whaley. Lintend to have the manager shut off the valve at Z.5lGppm, 0.39 of the attachment. Results orp. 19, 29, 32, 39, 48 are all elevated at Whaley and others are concerning, 2 xxxEND_PAGE:dhhs03_b0233_0876_0879_2 000878 itis not common for us to receive the MDEQ daily report with this many lead results or the number of elevated in one location. We commonty receive between 1-15 general water results, which most are usually bacteria, partial chemistry and arsenic, mixed in with a few lead and copper. Fil report back what | find at Whaley. Jin Henry RS, MBA Environmental Health Supervisor 630 S. Saginaw St. Suite 4 Flint. Mi 48502-1540 Phone (810} 257-3618 Fax (810) 257-3125 E-mail |[email protected] Genuses Codrily

Whaley Childrens Center 1201 N. Grand Traverse

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Jim, | just got a call from Eden Wells and DEQ just told her Whaley CC was given sample results of 213ppm and 2516ppm from two fixtures. As this is a center for foster kids it would be a good idea if we verify they are not using those fixtures. Find out if they have filters or are using bottled water. Are the kids there seen by a physician and tested for lead? Have they notified their physician(s) of the problem? Thanks Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Ml 48502-1540 Phone 810-257-3588 Fax 810 257-3147 xxxEND_PAGE:dhhs03_b0233_0876_0879_3 000879 Please consider the environment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings.” Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Departuent’s Notice of Information Practices, contact the Health Department or visit the Health Department's website at i chd.us/ xxxEND_PAGE:dhhs03_b0233_0876_0879_4

RE: Newborn

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xxxEND_PAGE:dhhs02_b1194_4563_4568_1 004564 Where are we with this issue? Bath the case rnanagement and how itis being sent to the state data base? Toni L LaRocco MS, RN Director of Nursing Services Genesee County Health Department 610.237 4544 [email protected] femny lensak pele i a . e os elf thee fellhes OP 8 if ihe, fb Laees wheal we have ote é g : : oot fear U8 683 ty, 10 ean taser a meal its RUS & howe, & Suranger Fesed va if Ea baa, dad eeaates & aisir See Comores, f f HS SENS OE Par £48, heise Posie soe 2 ive use of the ad ended recipier aoe For a copy Deparment h Deparmeni’s Notice of information Practices, contact the al Rip Awa sohd us! jeaglin Decariment or visi

Lead Case management for 6 through 17 year olds

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Good morning, Jori. Per our conversation last week, | am verifying that GCHD is able to provide lead case management services to children aged 6 through 17 years of age under our contract, as you see appropriate. This would cover children living in Flint or Genesee County exposed to Flint water. Bob Scott has changed his data sheet to add a tab with a list of children in this age group. | have attached a revised weekly reporting form shortly, that adds a row to capture information on any CM activities that you do provide to this age group. Please let me know if you need further information or documentation from MDHHS. Nancy Peeler, Manager Early Childhood Health Section 517/335-9230 xxxEND_PAGE:dhhs03_b0654_2223_2223_1

Re: Newborn

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Given that this is a research study, the Hurley lab may not be handling the results in the same way as they handle other lead tests. Can the lab be contacted and asked about that, by someone on Dr. Hanna-Attisha's team? If the results are handled under a research protocol, would the results be required to be reported under the Public Health Code, or would they be considered confidential under the terms of the consent form signed by the research participants? In other words, what does the research protocol and the consent form say? | assume/hope the family would would welcome a home intervention, but need to be sure the research protocol re confidentiality isn't being violated. If it appears that way, then someone on the research team should get consent from the family for public health followup, | would think.

Fwd: Newborn

From
Toni Larocco
To
Jori July , Staylor@igcha. Us
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Jori and Eden, Please see below. Please note that this is a result below 5. We are happy in this extended circumstance to follow this family. | am off next week and will need you Eden, to advocate with state for the follow up by case managers as it does not fit the specified criteria. Merry Christmas! Toni Toni LaRocco MS, RN Director of Nursing Services Genesee County Health Department Begin forwarded message: xxxEND_PAGE:dhhs03_b0219_0833_0835_1 000834 Date: December 20, 2015 at 11:46:15 AM EST

12112015 FLINT BLOOD LEAD CM - weekly status tracking form v4 11.24.15.xlsx

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Hello Here is the weekly report for the week ending 12/11/15. Thank you Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at hits s/ xxxEND_PAGE:dhhs02_b0447_1804_1805_2

12042015 FLINT BLOOD LEAD CM - weekly status tracking form v4 11.24.15.xlsx

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Good morning Here is our weekly status report for the week ending 12/4/15. Thank you Kim Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e- mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at bitp.//www.echd us! xxxEND_PAGE:dhhs03_b0469_1709_1710_2

CM for children with lead levels < 5

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Lishiaskit@imich? ochichs Hvean.gov) < gan.eov>; LaRocco, Toni (Harecco® Good afternoon, Jori. Per our discussion last week, with this email | am verifying our conversation that there may occasionally be circumstances where GCHD deems it appropriate and necessary to offer Case Management services to a child in Flint/Genesee County, who has been exposed to Flint water, that has a blood lead test showing a lead level <5. If this occurs, we appreciate if you could keep us informed that you have made such determination, and for whom (conversation during the weekly call will suffice). That will help us as we maintain our records here. Please let me know if you have questions. Nancy Peeler, Manager Early Childhood Health Section 517/335-9230 xxxEND_PAGE:dhhs03_b0645_2169_2169_1

RE: hoping to touch base about our reporting form

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Nancy- Do you want running totals? That wasn’t clear in your reply. | suppase that it depends an what vou want for numbers; to me it makes serise to have the test date. Aren't you wanting to know the feaci test results of those that were drinking the water before the switch back to Detroit??? dori Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department

Re: hoping to touch base about our reporting form

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Hi Jori - thanks for sending feedback. We'll have the Excel spreadsheet for you tomorrow (Tuesday). Regarding your questions - xxxEND_PAGE:dhhs03_b0601_2029_2031_1 002030 e [think the Word document had totals for each column. | agree, that the 'X' in rows 3 and 4 will change each week as any new results come in, and as Bob adds to the list. e Thanks for catching the > 5 - you are correct, it should be > 5. e We were thinking data would be based on when data was added to Bob's lists; what would work best for you?

RE: hoping to touch base about our reporting form

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Nancy- Regarding the updated renorting form: e® Do you want running totals for all rows and columns? This means that the “X” will change each week dependent on the list received from Bob and any results we receive ahead of being put on his list. ® The top 2 rows, should the results show as > 5? Currently, they are just > 5. e Do you want data entered inte the columns dependent on the date the test was done or the date the result was added to Bob’s fist? Please clarify, Thank you, dort Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department jbv@gchdus (810) 237-4543

hoping to touch base about our reporting form

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igan gov] Hi Jori, [have a couple of questions pertaining to the reporting form we gave you - we need to update it to match the revised cortract language, and | can see some other things that could be improved, would like to review those with one of more of you tomorrow, if possible. Karen is off for a family event, so it would be just me on our end. i could talk sometime tommorrow between about 9 and noon, ar around 4prn. Would one of those times work for you? ff you could fet re know, ari send me your shone murmber, | would appreciate it! Naney xxxEND_PAGE:dhhs03_b0601_2029_2031_3

hoping to touch base about our reporting form

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Hi Jori, I have a couple of questions pertaining to the reporting form we gave you - we need to update it to match the revised contract language, and I can see some other things that could be improved, would like to review those with one or more of you tomorrow, If possible. Karen is off for a family event, so it would be just me on our end. I could talk sometime tomorrow between about 9 and noon, or around 4pm. Would one of these times work for you? If you could let me know, and send me your phone number, I would appreciate it! Nancy

11182015 FLINT BLOOD LEAD CM - weekly status tracking form

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One more update with newer numbers and addition to notes. Do you want it sent to Karen before call? She had requested it prior to call. | think Toni wants a copy too if you think it is alright. Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Flint, MI 48529 Telephone: 810- 237-4574 Fax: 810-237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any 1 xxxEND_PAGE:dhhs03_b0592_2011_2012_1 002012 action in relate of the contents of this e-rriil is strictly prolibéted. If you NR¥Pe reweived this e-mail in error, please notify mre YA e- mill afd permanently dekte the original anid destroy ali copies. Tik you. Fer a copy of the Hevlth Depattment’s Nvtice of Informution Practices, contact the Hetlth Department or visit the Hreaith Department's website at htteWwongeherisc ys! xxxEND_PAGE:dhhs03_b0592_2011_2012_2